Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | F402714-01 | NY |
NPI | 1013569979 |
---|---|
Provider Name | Dr. Alyssa Christine Weissinger |
First Address | Buffalo, NY 14214-2604 |
Second Address | Buffalo, NY 14213-2001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2019 |
Last Update Date | 05/10/2021 |